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lutetium-177 dotatate + capecitabine is a combination therapy regimen being investigated for the treatment of aggressive, FDG-positive gastro-entero-pancreatic neuroendocrine tumors (GEP-NETs). The regimen consists of Peptide Receptor Radionuclide Therapy (PRRT) using lutetium-177 dotatate, which delivers targeted beta-radiation to cells expressing somatostatin receptor type 2 (SSTR2), combined with low-dose metronomic capecitabine. Capecitabine, an oral fluoropyrimidine carbamate, acts as a radiosensitizer and anti-angiogenic agent, potentially enhancing the efficacy of the radionuclide therapy. This specific combination is being evaluated in clinical trials led by the Istituto Romagnolo per lo Studio dei Tumori (IRST) Dino Amadori IRCCS.
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